<!DOCTYPE html>
<html>

	<head>
		<meta charset="UTF-8">
		<title>银行卡信息</title>
		<!--<link rel="stylesheet" type="text/css" href="css/base.min.css" />
		<link rel="stylesheet" type="text/css" href="css/common.css" />-->
		<link rel="stylesheet" type="text/css" href="{:_SKIN}/user/layui/css/layui.css" media="all" />
		<link rel="stylesheet" type="text/css" href="{:_SKIN}/user/css/baojia.css" />
		<script src="{:_SKIN}/user/layui/lay/dest/layui.all.js" type="text/javascript" charset="utf-8"></script>
		<style type="text/css">
			.content{
				font-size: 14px;
			}
			.tishi {
				width: 100%;
				height: auto;
				margin-left: 150px;
				margin-top: 30px;
				margin-bottom: 30px;
			}
			
			.star {
				color: red;
			}
			
			.layui-input {
				width: 50%;
			}
			
			.btn {
				background: #ff6600;
				width: 250px;
				margin-top: 10px;
			}
		</style>
	</head>

	<body>
		<div class="content">
			<div class="titlebar">
				<div class="titlebar-name">银行卡信息</div>
			</div>
			<div class="tishi">
				<span class="star">
                        １.银行信息用于申请提现，请按要求准确填写。<br>
                        ２.申请提现１个工作日内受理，到账期１－２天。<br>
                        ３.逾期２天不办理。
            </span>
			</div>
			<form class="layui-form" action="">
				<div class="layui-form-item">
					<label class="layui-form-label">银行名称：</label>
					<div class="layui-input-block">
						<input type="text" name="title" required lay-verify="required" placeholder="中国建设银行山西省分行太原市晋阳街支行" autocomplete="off" class="layui-input">
					</div>
				</div>
				<div class="layui-form-item">
					<label class="layui-form-label">银行账号：</label>
					<div class="layui-input-block">
						<input type="text" name="title" required lay-verify="required" placeholder="请填写您的银行账（卡）号" autocomplete="off" class="layui-input">
					</div>  
				</div>
				<div class="layui-form-item">
					<label class="layui-form-label">卡主姓名：</label>
					<div class="layui-input-block">
						<input type="text" name="title" required lay-verify="required" placeholder="填写银行卡所有者姓名" autocomplete="off" class="layui-input">
					</div>
				</div>
				<div class="layui-form-item">
					<div class="layui-input-block">
						<button class="layui-btn btn" lay-submit lay-filter="formDemo">立即保存</button>
					</div>
				</div>
			</form>
		</div>
	</body>

</html>